<div class="row-fluid">
    <div class="span0">
        <div class="alert alert-block alert-error fade in">
            <button type="button" class="close" data-dismiss="alert">×</button>
            <h4 class="alert-heading">Isikan data dengan benar</h4>
            <p><?php echo $error; ?></p>
        </div>

        <div class="control-group">
            <?php echo form_open('psb/daftar'); ?>
            <label class="control-label" for="input01">Nama</label>
            <div class="controls">
                <input id="input01" class="input-xlarge span3" type="text" name="nama" value="<?php echo $input['nama'] ?>">
            </div>
            <label class="control-label" for="input01">Jenis Kelamin</label>
            <div class="controls">
                <select class="span2" name="sex">
                    <option value="L">Laki-laki</option>
                    <option value="P">Perempuan</option>
                </select>
            </div>
            <label class="control-label" for="input01">Tempat Lahir</label>
            <div class="controls">
                <input id="input01" class="input-xlarge span3" type="text" name="tempat" value="<?php echo $input['tmpt_lahir'] ?>">
            </div>
            <label class="control-label" for="input01">Tanggal Lahir</label>
            <div class="controls">
                <input id="input01" class="input-xlarge span3" type="text" name="tgl" value="<?php echo $input['tgl_lahir'] ?>">
            </div>
            <label class="control-label" for="input01">Sekolah Asal</label>
            <div class="controls">
                <input id="input01" class="input-xlarge span3" type="text" name="sekolah" value="<?php echo $input['asal_sekolah'] ?>">
            </div>
            <label class="control-label" for="input01">Kabupaten Asal</label>
            <div class="controls">
                <input id="input01" class="input-xlarge span3" type="text" name="kabupaten" value="<?php echo $input['kabupaten_asal'] ?>">
            </div>
            <label class="control-label" for="input01">Nama Orang Tua</label>
            <div class="controls">
                <input id="input01" class="input-xlarge span3" type="text" name="ortu" value="<?php echo $input['nama_orangtua'] ?>">
            </div>
            <label class="control-label" for="input01">Nilai</label>
            <div class="controls">
                <input id="input01" class="input-xlarge span3" type="text" name="nilai" value="<?php echo $input['nilai'] ?>">
            </div>
            <p class="help-block">Ketikkan data di kolom di atas.</p>
            <button class="btn btn-info" href="#"><i class="icon-pencil icon-white"></i> Daftar</button>
            <?php echo form_close() ?>
        </div>
    </div>
</div>